<div class="scope-express-add">
    <header class="navbar navbar-default navbar-fixed-top container-fuild">
        <div class="row clearfix">
            <div class="col-xs-4 go text-left">
                <button onclick="javascript:history.go(-1)" class="btn icon-ss-left">返回</button>
            </div>
            <div class="col-xs-4 text-center title" ng-bind="headtitle"></div>
            <div class="col-xs-4 text-right">
                <a class="btn text-success" ng-click="submit()">确认</a>
            </div>
        </div>
    </header>
    <section class="container">
        <div class="form-group">
            <label for="consignee">收货人</label>
            <input id="consignee" name="consignee" class="form-control" type="text" placeholder="收货人" ng-model="consignee" required="required">
        </div>
        <div class="form-group">
            <label for="mobile">手机号</label>
            <input id="mobile" name="mobile" class="form-control" type="tel" placeholder="手机号" ng-model="mobile" required="required" ng-pattern="/^1[3458]\d{9}$/">
        </div>
        <div class="form-group">
            <label for="district">所在区划</label>
            <select class="form-control" required id="district" name="district" ng-model="myDistSelect" ng-options="o.region_name for o in region_list track by o.region_id">
                <option value="">所在区划</option>
            </select>
        </div>
        <div class="form-group">
            <label for="address">详细地址</label>
            <textarea id="address" name="address" class="form-control" rows="3" placeholder="详细地址" ng-model="address" required></textarea>
        </div>
    </section>
</div>
